Nokea
When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
- A. Dermabrasion
- B. Rhinoplasty
- C. Blepharoplasty
- D. Rhytidectomy
Correct Answer: D
Rationale: Rhytidectomy (facelift) removes excess skin from face and neck.
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The nurse working in the community is assigned to the care of several clients. Which client(s) may require assistance to overcome barriers to accessing adequate care?
- A. A student entering a local university
- B. A client who is a migrant and works on a farm
- C. An older adult client living independently
- D. A client who has been unemployed for 6 months
Correct Answer: B
Rationale: Barriers to healthcare access often hit vulnerable groups hardest, requiring nursing intervention. A migrant farm worker faces language, mobility, and economic hurdles, limiting care access e.g., no insurance or transport. An older adult living alone may struggle with mobility, health literacy, or isolation, delaying treatment. An unemployed client, lacking income or coverage, often skips care due to cost, risking worsening conditions. A student entering university or an employed pregnant client typically has fewer systemic barriers students may access campus health, employed clients insurance. Nursing must target the migrant, elderly, and jobless, addressing disparities poverty, age, ethnicity ensuring equitable care. This reflects nursing's equity mission, bridging gaps for those society sidelines, enhancing health outcomes through advocacy and resource linkage.
Which one of the following is the commonest side effects of copper-T :
- A. Pain
- B. Bleeding
- C. Perforation
- D. Ectopic pregnancy
Correct Answer: B
Rationale: Copper-T, an intrauterine device (IUD), has known side effects, with bleeding being the most frequent. Pain (choice A) occurs, especially during insertion or cramping, but it's typically transient. Bleeding (choice B), including heavier periods or spotting, affects most users due to copper's inflammatory effect on the endometrium, often leading to discontinuation. Perforation (choice C) is rare, occurring in <1/1000 insertions, and ectopic pregnancy (choice D) is a serious but uncommon risk, as IUDs primarily prevent intrauterine implantation. B is correct, as clinical data consistently show bleeding as the commonest complaint. Nurses must educate patients on expected bleeding patterns, monitor for anemia, and assess when intervention (e.g., removal) is needed, ensuring informed use of this contraceptive method.
Which nursing actions will increase efficient management of client care and decrease the ramifications of the nursing shortage?
- A. Pursuing postlicensure education
- B. Becoming cross-trained in another area of the hospital
- C. Taking early retirement
- D. Implementing evidenced-based clinical pathways
Correct Answer: A
Rationale: Addressing the nursing shortage and improving client care efficiency requires strategic actions that bolster the workforce and optimize practice. Pursuing postlicensure education enhances nurses' skills and adaptability, enabling them to handle diverse patient needs effectively, thus reducing strain from shortages. Becoming cross-trained in other hospital areas increases flexibility, allowing nurses to cover gaps and maintain care continuity across units. Implementing evidence-based clinical pathways standardizes care with proven methods, streamlining processes and minimizing errors, which is crucial when staffing is limited. Coordinating services before discharge ensures smoother transitions, reducing readmissions and workload. Taking early retirement, however, exacerbates the shortage by reducing experienced staff, counteracting efficiency goals. These proactive measures collectively strengthen care delivery, mitigate shortage impacts, and support a resilient healthcare system.
Which of the following is more life threatening?
- A. BP=180/100
- B. BP=160/120
- C. BP=90/60
- D. BP=80/50
Correct Answer: D
Rationale: BP 80/50 is most life-threatening e.g., hypoperfusion risks failure vs. 180/100 (hypertension), 160/120 (severe), 90/60 (borderline). Nurses prioritize this e.g., fluids for stability, per hemodynamics.
Which of the following statement is NOT true about complementary therapy?
- A. Used with conventional medicine
- B. Includes acupuncture
- C. Always replaces medical treatment
- D. May improve well-being
Correct Answer: C
Rationale: Complementary therapy pairs with medicine (A), includes acupuncture (B), may improve well-being (D) 'always replaces' (C) isn't true, it's adjunctive, per definition. C's replacement fails, making it untrue.